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Out of Network Payment

Out of Network Payment Legislation

Too many patients face a rude awakening after an emergency room visit: a surprise insurance gap. Insurance companies are forcing doctors out of their networks leaving patients to foot the bill while maximizing their profits.

“Insurance companies must be transparent about how they calculate payments and provide fair coverage for their beneficiaries and pay reasonable charges, rather than setting arbitrary rates that don’t even cover the costs of care. Seventy-nine percent of the emergency physicians who were familiar with the Fair Health database said it is the best mechanism available to ensure transparency and to make sure insurance companies don’t miscalculate payments.”